A safe space to be exactly who you are.
Thoughtful, physician-led gender-affirming hormone therapy for transgender and nonbinary patients — individualized, evidence-based, and delivered inside a continuous primary care relationship rather than a single-issue clinic. Whatever your goals for your own body, you're welcome here.
This Is a Safe Space
You get to decide what your own body looks and feels like. Whether that means fully transitioning, making a partial change, or simply exploring what feels right, Metronome Family Medicine supports your right to pursue the secondary sex characteristics that align with your own sense of self. That's not a political position — it's what patient-centered, informed-consent medicine actually looks like in practice.
Gender-Affirming Care Is Where Dr. Juan Learned This Medicine
Most physicians don't talk about this publicly, but stigma and bias around hormone therapy keep a lot of doctors from ever engaging with it. What changed that was Dr. Juan working alongside a gender-affirming care team at a previous institution — learning to prescribe and adjust estrogen and testosterone for transgender women and men, seeing the protocols, seeing the outcomes, and internalizing the actual science.
That experience is what destigmatized these medicines for Dr. Juan. The biology of hormone optimization isn't fundamentally different across patient populations, and the need isn't different either. Cisgender and transgender patients are equally deserving of consideration, access, and individualized treatment — which is exactly the foundation Metronome Family Medicine now brings to andropause and menopause care as well.
HRT Is Gender-Affirming Care
Why hormone therapy for a transgender patient and hormone therapy for a cisgender patient in midlife are more alike than most people assume — and why that connection matters for how this practice approaches both.
It's Not Just "Hormones." It's a Relationship.
Gender-affirming hormone therapy at Metronome is never just a prescription handed across a counter. It's counseling, an honest conversation about risk and benefit, and a personal, individualized decision you make together with a physician who follows you over time.
Counseling & Informed Consent
Time to talk through goals, expectations, and what hormone therapy can and can't do before anything is prescribed.
Risk & Benefit, Honestly
A real conversation about cardiovascular, metabolic, and bone-density considerations — not a waiver to sign and forget.
Testosterone, Estrogen & Progesterone
Prescribed and titrated based on your goals and physiology, not a fixed protocol applied to everyone the same way.
Laboratory Monitoring & Dose Titration
Ongoing labs guide dosing over time, rather than a "start and forget" prescription.
Cardiovascular & Metabolic Oversight
Hormone therapy is tracked in the context of your whole cardiovascular and metabolic picture.
An Ongoing, Collaborative Decision
Treatment plans are revisited as your goals, life, and physiology change — not decided once and left alone.
Available to Adolescents and Adults
Gender-affirming care is available across the lifespan. For minors, that always includes age-appropriate assessment and collaboration with parents or legal guardians, guided by current clinical standards — the same standard of care patients would receive anywhere responsible medicine is practiced.
What's different here isn't the standard of care. It's who's actually making the decision: not an insurance reviewer weighing political risk before approving a claim, but you — and your family, if you're a minor — working directly with a physician who already knows your full history.
Care That Isn't Filtered Through an Insurer's Politics
In 2026, federal policy on gender-affirming care coverage moved sharply against patients — a proposed CMS rule ending its status as an ACA essential health benefit, and federal employee health plans dropping coverage outright. Experts warn this kind of pressure encourages private insurers to deny claims too.
Even a Protective State Felt It
Colorado law protects access to this care. Even so, Children's Hospital Colorado — the state's largest pediatric gender-affirming care provider — suspended those services in January 2026 amid that pressure, before the Colorado Supreme Court ordered care resumed in May 2026.
Institutions Depend on Insurance. This Practice Doesn't.
Hospitals and insurance-billing clinics answer to payers, hospital systems, and shifting federal reimbursement rules. Direct Primary Care doesn't bill insurance at all — so there's no claim to deny and no payer politics sitting between you and your physician.
What That Means for You
The clinical decision stays where it belongs: between you and a physician who knows your history, regardless of what any given administration decides to reimburse this year.
This isn't a workaround or a loophole — it's simply what happens when a physician's income doesn't depend on insurance-company or federal approval of the care being provided.
See: CPR News, May 2026 · KFF on the 2026 CMS rule · Bloomberg Law on federal employee coverage
Hormone Therapy Doesn't Exist in Isolation
Within primary care, gender-affirming hormone therapy is coordinated with the rest of your health, ensuring both affirmation and long-term safety.
Hormone Health Doesn't Stand Alone
Begin the Conversation
If you're looking for gender-affirming care inside a respectful, physician-led primary care relationship, you're invited to reach out.
Begin the Conversation →All treatment is individualized, based on informed consent, and guided by current clinical guidelines. For minors, care includes age-appropriate assessment and collaboration with parents or legal guardians in accordance with Colorado law and current medical standards. Sources: JAMA Pediatrics, 2025, CPR News, 2026, KFF, 2025, Colorado DOI.